Authorization Specialist

Job Summary

A company is looking for an Authorization Specialist II to support the prior authorization request process within the Medical Management/Health Services team.

Key Responsibilities

• Aids the utilization management team by tracking and documenting authorizations and referrals
• Researches and documents medical information for authorization reviews
• Verifies member insurance coverage and processes authorization requests in accordance with guidelines

Required Qualifications

• High School diploma or GED is required
• 1 - 2 years of related experience is required
• Knowledge of medical terminology and insurance is preferred